Background. Self-care adherence for hypertensive patients is a cornerstone for the control of it and prevention of its complications. However, there are inconsistent findings for self-care adherence of hypertensive patients in Ethiopia. Thus, this systematic review and meta-analysis was done to determine the pooled estimate self-care adherence. Methods. This systematic review and meta-analysis was reported based on the Preferred Reporting Items for Systematic Review and Meta-Analysis guideline. An intensive search of online databases such as PubMed (MEDLINE), CINHAL, Google Scholar, and advanced Google search was made to access both published and unpublished articles that report self-care adherence among hypertensive patients in Ethiopia. The pooled estimate was done with STATA version 11 metan commands in a 95% confidence interval. The presence of heterogeneity and publication bias were detected by I² and Egger’s test, respectively. A random-effect model was obtained, and subgroup analysis was done for the management of heterogeneity. Result. A total of 24 articles with a total of 7224 participants were included in the final systematic review and meta-analysis. The pooled estimate of overall self-care adherence among hypertensive patients was 36.98% (95% CI: 27.13–46.83). In subgroup analysis, the highest overall self-care adherence was observed in the Amhara region at 53% (95% CI: 46.54, 59.47). The pooled estimate of self-care dimensions such as medication adherence, low-salt diet, physical activity, smoking abstinence, alcohol abstinence, and weight management was 62.71%, 65.96%, 47.28%, 92.53%, 67.59%, and 52.54%, respectively. Conclusion. The pooled estimate of good self-care adherence among hypertensive patients was low. From the dimensions of self-care, the lowest level was in physical activity and the highest level was in smoking abstinence. Comparing all regions, the lowest level of overall self-care adherence was observed in Addis Ababa, Tigray region, and South Nations and Nationalities of Ethiopia. Screening of adherence to self-care and health education should be provided to every patient during every visit.

中文翻译：

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埃塞俄比亚高血压患者自我保健的依从性：系统评价和荟萃分析

背景。高血压患者的自我保健依从性是控制高血压和预防其并发症的基石。然而，埃塞俄比亚高血压患者自我保健依从性的结果不一致。因此，进行了这项系统评价和荟萃分析，以确定汇总估计的自我保健依从性。方法. 该系统评价和荟萃分析是根据系统评价和荟萃分析指南的首选报告项目报告的。对 PubMed (MEDLINE)、CINHAL、Google Scholar 和高级 Google 搜索等在线数据库进行了密集搜索，以访问已发表和未发表的报告埃塞俄比亚高血压患者自我保健依从性的文章。汇总估计是使用 STATA 版本 11 metan 命令在 95% 置信区间内完成的。异质性和发表偏倚的存在分别通过 I ²和 Egger 检验进行检测。获得随机效应模型，并进行亚组分析以管理异质性。结果. 最终系统评价和荟萃分析共纳入 24 篇文章，共 7224 名参与者。高血压患者总体自我护理依从性的汇总估计为 36.98%（95% CI：27.13-46.83）。在亚组分析中，阿姆哈拉地区的总体自我护理依从性最高，为 53%（95% CI：46.54，59.47）。对药物依从性、低盐饮食、体育锻炼、戒烟、戒酒和体重管理等自我保健维度的汇总估计分别为 62.71%、65.96%、47.28%、92.53%、67.59% 和 52.54%，分别。结论. 高血压患者自我保健依从性良好的汇总估计值很低。从自我保健维度来看，身体活动水平最低，戒烟水平最高。比较所有地区，在亚的斯亚贝巴、提格雷地区以及埃塞俄比亚的南方国家和民族地区，总体自我保健依从性最低。应在每次就诊期间对每位患者进行自我保健和健康教育依从性筛查。